Individual
MELISSA FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 30TH ST, DES MOINES, IA 50310-5753
(515) 242-4404
Mailing address
8990 LAKE DR, WEST DES MOINES, IA 50266-1637
(214) 883-3419
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
095763
IA
Other
Enumeration date
03/03/2023
Last updated
03/03/2023
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